Chronic Suppurative Otitis Media correlated with Karnasrava - Ayurvedic Interventions Using Dhoompana and Karnapichu

Abstract

Introduction: Ear pus discharge with central small perforation and hearing loss are common complaints that can significantly affect quality of life. Karnapichu and Karnadhoopana therapy, an Ayurvedic treatment, has been suggested as a potential symptomatic treatment. This case study reports a 48-year-old male, who presented with bilateral ear pus discharge with small central perforation and decreased hearing in the last 7 months. The disease chronic suppurative otitis media can co-related to Karnasrava in Ayurvedic science. Acharya Sushruta explains that Karnasrava is an ailment marked by ear discharge, primarily triggered by the Aavarana of the Vata Dosha. Materials and Methods: a fully conscious male patient, presented to the Shalakya Tantra OPD, National Institute of Ayurveda, Jaipur with complaints of pus discharge from both ears, decreased hearing, and numbness in bilateral ear for the past 7 months. Clinical examination and investigations revealed bilateral ear small perforation with active discharge with hearing loss. Karna Dhoopana and Karna Pichu therapy was administered as a symptomatic treatment and other oral treatment also given for 4 months. Results: Following Karna Dhoopan and Karna Pichu therapy, the patient experienced significant improvement in both ear with reduction pus discharge and Tympanic membrane healing with hearing. The therapy was well-tolerated, and no adverse effects were reported significant subjective improvement was observed with oral medications. Discussion: This case study highlights the potential benefits of Karna Dhoopana and Karna Pichu therapy in managing ear discharge associated with hearing loss.